16 research outputs found
HUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGI
No full textHUBUNGAN EPISIOTOMI TERHADAP INKONTINENSIS URIN: SUATU STUDI EPIDEMIOLOGINovita Sari1, Edi Patmini2, Agung Nugroho3, Muhammad Nurhadi Rahman4ABSTRACTBackground:The mortality rate of urinary incontinence is low but it greatly affects a person’s quality oflife as can cause embarrassment and discomfort. Consequently it affects psychosocial impact of patient.Urinary incontinence 2-3 times more often experienced by women in comparison with men because oftrauma risk to the connective tissue, muscle, and nerve during childbirth.Objective: To assess association between episiotomy and nonepisiotomy vaginal delivery method onurinary incontinence among postpartum woman.Method: A cross sectional study was conducted toward women with post vaginal delivery in BantulHospital during the period of March-August 2014. After considering the inclusion and exclusion criteria,there were 95 women included in the study (44 women with episiotomy vaginal delivery and 51 womenwith nonepisiotomy vaginal delivery). Questionnaire for Urinary Incontinence Diagnosis (QUID)wasadministered to measure urinary incontinence in postpartum women. Data were analyzed using SPSSsoftware version 19.Result and Discussion: The occurrence of urinary incontinence in this research was 45.3%, among these39.5% were women with episiotomy vaginal delivery, and 60.5% were women with nonepisiotomy vaginaldelivery method (p=0.228 and RP =0.76).Conclusion: Urinary incontinence among postpartum women is not significantly different among womenwho delivered with episiotomy and non episiotomy.Keyword: Urinary incontinence, vaginal delivery, episiotomy, nonepisiotomyABSTRAKLatar Belakang:Inkontinensi urin bukan masalah yang mematikan tetapi inkontinensi urin mempengaruhikualitas hidup seseorang karena menimbulkan rasa malu dan tidak nyaman, sehingga memberikandampak psikososial pada pasien inkontinensi urin. Inkontinensi urin 2-3 kali lebih sering dialami olehwanita dibandingkan dengan pria karena adanya risiko terjadinya trauma pada jaringan ikat, otot, dancedera saraf saat melakukan persalinan.Tujuan: Mengetahui hubungan antara persalinan vaginal dengan tindakan episiotomi dan nonepisiotomiterhadap kejadian inkontinensi urin pada wanita postpartum.Metode: Penelitian ini menggunakan desain Cross Sectional dengan 44 subjek pada kelompok persalinanvaginal episiotomi dan 51 subjek pada kelompok persalinan vaginal nonepisiotomi. Kuesioner QUID(Questionnaire for Urinary Incontinence Diagnosis) digunakan untuk mengukur inkontinensi urin padawanita postpartum. Data kemudian dianalisis menggunakan software SPSS versi 19.Hasil:Angka kejadian inkontinensi urin pada subjek penelitian yaitu 45,3%, sedangkan pada kelompokpersalinan vaginal episiotomi 39,5% dan persalinan vaginal nonepisiotomi 60,5% (p=0,228 dan RP=0,76).Kesimpulan:Tidak ada hubungan yang signifikan antara persalinan vaginal dengan tindakan episiotomidan nonepisiotomi terhadap terjadinya inkontienesi urin postpartum.Kata kunci:Inkontinensi urin, persalinan vaginal, episiotomy dan nonepisiotomi.1 Mahasiswa S1 Pendidikan Dokter Fakultas Kedokteran UGM2,4 Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito3 Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UG
The use of B-Lynch Technique and Lasso-Budiman Technique to Control Postpartum Hemorrhage in Uterine Atony
No full textObjective: To evaluate the use of B-Lynch Technique and Lasso
Budiman Technique as conservative way to control post partum
hemorrhage due to uterine atony.
Method: The cross-sectional retrospective study in Department
of Obstetrics and Gynecology, Tangerang General Hospital, Banten,
year 2005 - 2008 and Department of Obstetrics and Gynecology,
Wonosobo General Hospital, Central Java, year 2003 - 2008.
Results: Total 38 post partum hemorrhage cases managed conservatively using B-Lynch technique and Lasso-Budiman technique. Twenty-six cases were done at Wonosobo General Hospital using B-Lynch technique, with 1 failure case and hysterectomy was done with good result. No complications has been reported for the rest 25 successful cases. Twelve cases were done at Tangerang General
Hospital, using Lasso-Budiman technique, 1 failure reported, continue
to hysterectomy. Among 11 successful cases, 2 complications
were found. Ssecondary amenorrhea after performing Lasso-Budiman
technique due to uterine sinechia were reported.
Conclusion: The B-Lynch technique and Lasso-Budiman technique,
both are simple, easy, and effective to control post partum
hemorrhage due to uterine atony. If failed, hysterectomy is the last
choice. These techniques are also effective methods to conserve
uterus and fertility.
[Indones J Obstet Gynecol 2010; 34-4: 195-8]
Keywords: postpartum hemorrhage, conservative methode, BLynch
technique, Lasso-Budiman techniqu
GANGGUAN HASRAT SEKSUAL PADA WANITA PASCASALIN DAN HUBUNGANNYA DENGAN CARA PERSALINAN
No full text1Yusnia Irchami F, 1Irfan H, 1Isanawidya H.P, 1Avie A.B, 2Edi Patmini, 3Agung Nugroho, 2Muhammad Nurhadi Rahman ABSTRACTBackground: Sexual dysfunction in postpartum woman is closely related to the period of pregnancy and childbirth. One of the diagnostic criteria for sexual dysfunction is a sexual desire. Sexual desire disorder can be influenced by psychological factors and marriage relationship. However, there has been no consensus stating with certainty the effect of the method of delivery against sexual desire disorder in postpartum woman.Objective: To assess association between delivery method and sexual desire disorder among postpartum woman in RSUD Panembahan Senopati Bantul Yogyakarta.Method: A cross sectional study was conducted involving 53 subjects in spontaneous vaginal group and 49 subjects in sectio caesarea group. The Female Sexual Function Index (FSFI) questionnaire was administered to measure sexual desire disorder in 2-6 months postpartum woman. Data was analyzed using chi-square analysis. Result & Discussion: In spontaneous vaginal group, 62.3% of the subjects experienced sexual desire disorder while in sectio caesarea group showed 55.1% (p=0.463). Spontaneous vaginal delivery increases the risk of sexual desire disorder, but not significant statistically (Prevalence ratio 1.130 convidence interval (CI) 0.814 to 1.569).Conclusion: There was no significant relationship between the method of delivery and the prevalence of sexual desire disorder among postpartum woman in RSUD Panembahan Senopati Bantul, Yogyakarta.Keywords: Sexual desire disorders, spontaneous vaginal delivery, sectio caesarea delivery, postpartum womanABSTRAK Latar Belakang: Disfungsi seksual yang terjadi pada wanita pascasalin erat kaitannya dengan masa kehamilan dan persalinan. Salah satu kriteria diagnostik disfungsi seksual adalah hasrat seksual. Gangguan hasrat seksual dapat dipengaruhi oleh faktor psikologis wanita dan hubungan pernikahan. Namun, belum terdapat konsensus yang menyatakan dengan pasti pengaruh metode persalinan terhadap gangguan hasrat seksual pada wanita pascasalin. Tujuan: Mengetahui hubungan antara metode persalinan terhadap prevalensi gangguan hasrat seksual pada wanita pascasalin di RSUD Panembahan Senopati Bantul Yogyakarta.Metode: Desain penelitian ini adalah studi potong lintang (cross sectional) dengan melibatkan 53 subjek pada kelompok persalinan vaginal dan 49 subjek pada kelompok sectio caesarea. Kuesioner Female Sexual Function Index (FSFI) digunakan untuk mengukur gangguan hasrat seksual pada subjek yang berada pada bulan ke 2-6 periode pascasalin. Data dianalisis dengan analis chi-square.Hasil & Pembahasan: Pada kelompok vaginal spontan, sebesar 62,3% subjek mengalami gangguan hasrat seksual sedangkan pada kelompok sectio caesarea didapatkan hasil sebesar 55,1% (p=0,463). Persalinan vaginal spontan meningkatkan risiko terjadinya gangguan hasrat seksual secara tidak bermakna (Rasio prevalensi 1,130 convidence interval (CI) 0,814-1,569). Kesimpulan: Tidak terdapat hubungan yang bermakna antara metode persalinan dengan prevalensi gangguan hasrat seksual pada wanita pascasalin di RSUD Panembahan Senopati Bantul Yogyakarta.Kata kunci: Gangguan hasrat seksual, persalinan vaginal spontan, persalinan sectio caesarea, wanita pascasalin 1Mahasiswa S1 Pendidikan Dokter Fakultas Kedokteran UGM2Bagian Obstetri dan Ginekologi, Fakultas Kedokteran UGM / RSUP Dr. Sardjito3Bagian Kesehatan Ibu dan Anak, Ilmu Kesehatan Masyarakat, Fakultas Kedokteran UGM
The safety and efficacy of supervised exercise on pregnant women with overweight/obesity: A systematic review and meta‐analysis of randomized controlled trials
No full textStrategies for shaping the identity of novice Arabic teachers in a professional education program
No full textThis study investigates the strategic formation of professional identity among novice Arabic teachers within a teacher professional education program. It aimed to delineate the core identity values fostered and to elucidate the specific strategies employed by the program to cultivate this identity. Employing a qualitative case study design, data were generated through direct observation and semi-structured interviews with program implementers, educators, and student teachers, selected via snowball sampling. Analysis involved a staged process of data reduction, coding, and categorization, framed by Uril Bahruddin's theory of language education development. The findings demonstrate that professionalism and learning are the central identity values instilled troughout the program. This identity, which serves as an indicator of professional competence, is systematically forged through a multi-faceted strategic approach that includes matriculation, targeted assignments, curated teaching materials, comprehensive assessment and evaluation, and activity-based methods. These strategies effectively guide novice Arabic teachers in developing their professional identity and shaping their long-term teaching trajectory
Urinary tract infection in premature rupture of membrane (PROM): an academic hospital based study
No full textPremature rupture of membrane (PROM) and preterm PROM (PPROM) are commonly related with poor maternal and perinatal outcomes. Urinary tract infection (UTI) has been known as one of its risk factors. The aim of study was to ascertain the frequency and pattern of urinary symptoms as well as the risk factors for UTI in PROM and PPROM. A retrospective study was conducted at Dr. Sardjito General Hospital, Yogyakarta, Indonesia. All pregnancy cases with the history of PROM/PPROM from January to December 2015 were included. The research subjects were obtained from medical records, using the format of basic data collection to identify the risk factors of UTI in pregnancy. One hundred cases of complicated pregnancy with either PROM or PPROM were obtained. The mean of maternal age, gestational age, and birth weight were 28 ± 5.99 yr; 34.05 ± 4:28 wk; 2170.79 ± 835.447 g; respectively. Urinalysis was done in 58 patients. The prevalence of bacteriuria was 55.17%. Symptomatic vs. asymptomatic bacteriuria showed statistically significant differences (
Removal of Complete Spontaneous Migration of an Intrauterine Contraceptive Device to the Bladder by Cystoscopy
No full textIntrauterine contraceptive devices (IUCD) are widely used as a reversible method of contraception. Although uterine perforation caused by an IUCD is rare, in some cases, the device may migrate to the pelvic/abdominal cavity or nearby structures. When the IUCD migrate to the bladder, it can lead to various symptoms. These include pain or discomfort in the lower abdomen, difficulties or pain during urination, frequent urinary tract infections, and the development of bladder stones. This article presents a case report of a 24-year-old woman with an intrauterine contraceptive device (IUCD) that had migrated completely into the bladder. She had an IUCD inserted by a midwife four years earlier and became pregnant a year later, unaware of the IUCD’s presence. She later presented with lower abdominal pain, hematuria, and dysuria three months before being admitted to our hospital. Imaging confirmed the intravesical location of the IUCD. She underwent successful cystoscopy treatment to remove the migrated IUCD. Prompt diagnosis and appropriate management are crucial in preventing complications and improving patient outcomes. Clinicians should be aware of this potential complication and consider it when patients present with symptoms or complications after IUCD insertion. Regular monitoring and timely intervention can help detect and address IUCD migration effectively
Effect of Vitamin D Supplementation in Women with Pelvic Floor Dysfunction: A Systematic Review
No full textObjective: This review systematically analyzes and summarizes existing studies on the association between vitamin D supplementation and symptoms of Pelvic Floor Dysfunction (PFD) in women. Methods: We conducted a comprehensive literature search based on the Preferred Reporting Items for Systematic Review (PRISMA) Statements’ flow diagram for systematic review. Two independent reviewers searched five online databases using keywords to identify relevant studies from 2018-2023. Excluded were articles with populations other than women, case reports or case series, review papers, and studies that did not report vitamin D supplementation as a means of intervention in the study.Result: After identifying 2392 references, 13 studies were examined. Three studies explored the correlation between vitamin D supplementation and levator ani muscle strength, revealing a positive association. Results on vitamin D’s effect on urinary incontinence varied: five studies reported a negative correlation, while three showed significant improvement. Two studies indicated that vitamin D supplementation improved sexual function in the intervention group compared to the control group.Conclusion: Current evidence suggests that vitamin D supplementation is a potential strategy for the prevention and treatment of PFD in women, but relevant studies are severely available.Efek Suplementasi Vitamin D pada Wanita dengan Disfungsi Dasar Panggul: Tinjauan SistematikAbstrakTujuan: Tinjauan ini bertujuan untuk menganalisis secara sistematis studi yang ada dan meringkas data yang menunjukkan hubungan antara suplementasi vitamin D dan wanita dengan gejala disfungsi dasar panggul.Metode: Pada penelitian ini, dilakukan pencarian literatur yang komprehensif berdasarkan diagram alir Preferred Reporting Items for Systematic Review (PRISMA) untuk tinjauan sistematis. Dua pengulas independen mencari lima basis data daring menggunakan kata kunci untuk mengidentifikasi studi yang relevan dari tahun 2018 – 2023. Artikel dengan populasi selain wanita, laporan kasus atau seri kasus, makalah ulasan, dan studi yang tidak melaporkan suplementasi vitamin D sebagai sarana intervensi dalam studi dikecualikan.Hasil: Setelah mengidentifikasi 2394 referensi dan 13 studi ditinjau. Tiga studi melaporkan korelasi antara suplementasi vitamin D dan kekuatan otot levator ani, mengungkapkan hubungan positif. Namun, hasil mengenai dampak vitamin D pada inkontinensia urin bervariasi: lima studi melaporkan korelasi negatif, sementara tiga menunjukkan perbaikan signifikan. Dua studi menunjukkan bahwa suplementasi vitamin D meningkatkan fungsi seksual pada kelompok intervensi dibandingkan dengan kelompok kontrol.Kesimpulan: Bukti saat ini menunjukkan bahwa suplementasi vitamin D merupakan strategi pencegahan dan pengobatan yang potensial untuk wanita dengan disfungsi dasar panggul, tetapi penelitiannya masih sangat terbatas.Kata kunci: Vitamin D, Disfungsi Dasar Panggul, Prolaps, Inkontinensi
Silaturrahim sebagai media relasi sosial masyarakat (Studi analisis hadis dengan teori tindakan max weber)
No full textThis article discusses the concept of silaturrahim as an effort to build relationships in the social life of society. In this research, the researcher made the editorial of the Prophet's hadith the main research object and Max Weber's theory of action as a research scalpel. This research method is qualitative with data sources based on literature review. The data processing method used is descriptive-analytical, namely describing the data that has been collected, then elaborating the data in depth to achieve the research objectives. Among the discussions in this research are; 1). Max Weber and his theory of action. This discussion will present a brief biography of Weber and his thoughts. 2). Classification of silaturrahim hadiths in kutub al-tis’ah. The classification will be presented in tabular form. 3). Analysis of the hadith of silaturrahim with Max Weber's theory of action. The explanation in this discussion is how the value of silaturrahim in the hadith can be manifested as strengthening social relations in society. This research concludes that; 1). Types of social action based on their orientation according to Weber, namely; instrumental rational (instrumentally rational), value rational (value-rational), affective (affectual), and traditional. 2). There are various hadiths that discuss silaturrahim in kutub al-tis’ah. 3). Silaturrahim has an important value in social relations in society. In some cases, silaturrahim is even manifested as a tradition to maintain community social relations
Client Satisfaction After Family Planning Counseling by Trained Medical Students
No full textLatar Belakang: Program keluarga berencana mengalami tren penurunan di Indonesia dikarenakan adanya kendala pengetahuan, hambatan budaya, dan ketidakpuasan klien terhadap efek dari penggunaan alat kontrasepsi. Konseling keluarga berencana oleh penyedia layanan kesehatan memainkan peran yang penting dalam memberikan informasi mengenai metode program keluarga berencana.Tujuan: Mengetahui kepuasan klien terhadap konseling keluarga berencana yang dilakukan oleh mahasiswa kedokteran yang telah dilatih.Metode: Penelitian ini merupakan pre-experiment design with posttest only. Dua puluh lima mahasiswa kedokteran yang mengikuti progam ditugaskan untuk memberikan konseling keluarga berencana kepada klien program keluarga berencana di Kabupaten Sleman, Yogyakarta. Modifikasi kuisioner dari William dkk digunakan untuk menilai kepuasan klien. Analisis deskriptif dilakukan dengan program SPSS versi 21.Hasil dan Pembahasan: Dari 69 klien yang mendapatkan pelayanan,secara umum lebih dari 97% klien merasa puas dengan pelayanan yang diberikan kecuali pada poin waktu tunggu dimana ketidakpuasan klien 11,8%. Kepuasan pada poin merasa dihormati, durasi konseling, metode pemberian informasi, kesempatan bertanya, dan kesesuaian antara informasi yang dibutuhkan dengan yang diberikan mencapai 98,5-100%.Kesimpulan: Sebagian besar klien merasa puas dengan konseling yang diberikan oleh mahasiswa kedokteran.Kata kunci: kepuasan, keluarga berencana, konseling, mahasiswa kedoktera
